Patient Access Rep I - FT - Evening - Patient Access Services Pennington NJ

Capital Health•Hopewell, NJ

1d•Onsite

About The Position

Registers patients accurately, efficiently and professionally to ensure database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts. Utilizes standards, guidelines, and written procedures for performing registration functions.

Requirements

High school diploma or equivalency.
One year experience in healthcare setting or customer service.
Basic computer skills.

Nice To Haves

Medical terminology and medical insurance knowledge preferred.

Responsibilities

Follows all payor requirements for both in/out of network insurance plans and identifies needs for referrals and precertification either electronically or by telephone according to department procedures and guidelines.
Performs verification of benefits on all patient encounters.
Audits chart for accuracy.
Follows computer system, internet-based third-party insurance applications, department operational procedures and departmental training guidelines to obtain accurate demographic, diagnosis, authorizations/referrals and insurance information on each registration.
Demonstrates service excellence by professionally assisting patients and customers with the utmost respect in a friendly caring manner.
Works collaboratively with other departments, physicians and physician office staff to obtain essential registration information such as insurance authorization, referrals, diagnosis, and scripts, to secure financial reimbursement and customer/patient satisfaction.
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, Collection of co-pay, Advance Beneficiary Notice, Advance Directives, and Patients’ Rights.
Registers established goal of minimum required patients per employee shift as measured by productivity reports.
Correctly identifies a patient according to policy, completes all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information and valid registration specific codes.
Obtains all necessary signatures.
Assures insurance information is verified, and authorization is obtained if not done prior to service, essential registration forms are scanned into Electronic Medical Record, and chart follow up is performed as needed.
Ascertains and records appropriately the difference between primary care physician, referring physician and attending physician.
Displays comprehension of identifying participating CH insurance plans and ability to identify nonparticipating plans.
Utilizes Insurance Card Database and/or Insurance Verification guidelines.
Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
Attends all mandatory department meetings.
Supports and participates in department performance improvement initiatives.
Performs other duties as needed.